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North African reference equation for peak nasal inspiratory flow

Published online by Cambridge University Press:  28 February 2011

M Denguezli Bouzgarou ,
H Ben Saad ,
A Chouchane ,
I Ben Cheikh ,
A Zbidi ,
J F Dessanges  and
Z Tabka
M Denguezli Bouzgarou*
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiopathological Exploration of Chronic Cardiorespiratory and Metabolic Disease Research Unit, Farhat Hached Hospital, Sousse, Tunisia
H Ben Saad
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiology and Functional Exploration Service, Farhat Hached Hospital, Sousse, Tunisia
A Chouchane
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiopathological Exploration of Chronic Cardiorespiratory and Metabolic Disease Research Unit, Farhat Hached Hospital, Sousse, Tunisia
I Ben Cheikh
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiopathological Exploration of Chronic Cardiorespiratory and Metabolic Disease Research Unit, Farhat Hached Hospital, Sousse, Tunisia
A Zbidi
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiopathological Exploration of Chronic Cardiorespiratory and Metabolic Disease Research Unit, Farhat Hached Hospital, Sousse, Tunisia Physiology and Functional Exploration Service, Farhat Hached Hospital, Sousse, Tunisia
J F Dessanges
Affiliation:
Respiratory Functional Exploration Service, Cochin Hospital, Paris, France
Z Tabka
Affiliation:
Laboratory of Physiology, Faculty of Medicine, Sousse ‘Ibn El Jazzar’, Farhat Hached Hospital, Sousse, Tunisia Physiopathological Exploration of Chronic Cardiorespiratory and Metabolic Disease Research Unit, Farhat Hached Hospital, Sousse, Tunisia Physiology and Functional Exploration Service, Farhat Hached Hospital, Sousse, Tunisia
*
Address for correspondence: Dr Meriam Denguezli Bouzgarou, Faculty of Medicine of Sousse ‘Ibn El Jazzar’, Mohamed Karoui St, 4002 Sousse, Tunisia Fax: 0021673214513 E-mail: myriam_denguezli2@yahoo.fr
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Abstract

Aim:

To assess, in healthy North African subjects, the applicability and reliability of a previously published reference equation and normal values for peak nasal inspiratory flow, and to calculate a peak nasal inspiratory flow reference equation in this population.

Subjects and methods:

Anthropometric data were recorded in 212 volunteers (100 females and 112 males) aged 13–27 years. Peak nasal inspiratory flow was measured several times. Univariate and multiple linear regression analyses were used to determine the reference equation.

Results:

The previously published reference equation and normal values did not reliably predict peak nasal inspiratory flow in the study population. In our subjects, the reference equation (r2 = 30 per cent) for peak nasal inspiratory flow (l/min) was 1.4256 × height (m) + 33.0215 × gender (where 0 = female, 1 = male) + 1.4117 × age (years) − 136.6778. The lower limit of normal was calculated by subtracting from the peak nasal inspiratory flow reference value (84 l/min).

Conclusion:

This is the first published study to calculate a reference equation for peak nasal inspiratory flow in North African subjects. This equation enables objective evaluation of nasal airway patency in patients of North African origin.

Keywords

Nasal CavityEthnic GroupsNasal Obstruction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 6 , June 2011 , pp. 595 - 602
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Starling-Schwanz, R, Peake, HL, Salome, CM, Toelle, BG, Ng, KW, Marks, GB et al. Repeatability of peak nasal inspiratory flow measurements and utility for assessing the severity of rhinitis. Allergy 2005;60:795–800CrossRefGoogle ScholarPubMed
2Doorly, DJ, Taylor, DJ, Schroter, RC. Mechanics of airflow in the human nasal airways. Respir Physiol Neurobiol 2008;163:100–10CrossRefGoogle ScholarPubMed
3Holmström, M, Scadding, GK, Lund, VJ, Darby, YC. Assessment of nasal obstruction. A comparison between rhinomanometry and nasal inspiratory peak flow. Rhinology 1990;28:191–6Google ScholarPubMed
4Jones, AS, Viani, L, Phillips, DE, Charters, P. The objective assessment of nasal patency. Clin Otolaryngol 1991;16:206–11CrossRefGoogle ScholarPubMed
5Fairley, JW, Durham, LH, Ell, SR. Correlation of subjective sensation of nasal patency with nasal inspiratory peak flow rate. Clin Otolaryngol 1993;18:19–22CrossRefGoogle ScholarPubMed
6Klossek, JM, Lebreton, JP, Delagranda, A, Dufour, X. PNIF measurement in a healthy French population. A prospective study about 234 patients. Rhinology 2009;47:389–92Google Scholar
7Cho, SI, Hauser, R, Christiani, DC. Reproducibility of nasal peak inspiratory flow among healthy adults. Chest 1997;112:1547–53CrossRefGoogle ScholarPubMed
8Ottaviano, G, Scadding, GK, Coles, S, Lund, VJ. Peak nasal inspiratory flow; normal range in adult population. Rhinology 2006;44:32–5Google ScholarPubMed
9Papachristou, A, Bourli, E, Aivazi, D, Futzila, E, Papastavrou, T, Konstandinidis, T et al. Normal peak nasal inspiratory flow rate values in Greek children and adolescents. Hippokratia 2008;12:94–102Google ScholarPubMed
10Ben Saad, H, Rouatbi, S, Raoudha, S, Tabka, Z, Laouani Kechrid, C, Hassen, G et al. Vital capacity and peak expiratory flow rates in a north-African population aged 60 years and over: influence of anthropometric data and parity (in French). Rev Mal Respir 2003;20:521–30Google Scholar
11Ben Saad, H, Tfifha, M, Harrabi, I, Tabka, Z, Guenard, H, Hayot, M et al. Factors influencing pulmonary function in Tunisian women aged 45 years and more (in French). Rev Mal Respir 2006;23:324–38CrossRefGoogle Scholar
12Bougrida, M, Ben Saad, H, Kheireddinne Bourahli, M, Bougmiza, I, Mehdioui, H. Spirometric reference equations for Algerians aged 19 to 73 years (in French). Rev Mal Respir 2008;25:577–90CrossRefGoogle Scholar
13Rouatbi, S, Ben Saad, H, Latiri, I, Tabka, Z, Guenard, H. North African references of alveolar membrane diffusion capacity and pulmonary capillary blood volume. Respiration 2010;80:301–12CrossRefGoogle ScholarPubMed
14Tabka, Z, Hassayoune, H, Guenard, H, Zebidi, A, Commenges, D, Essabah, H et al. Spirometric reference values in a Tunisian population (in French). La Tunisie Médicale 1995;73:125–31Google Scholar
15Trabelsi, Y, Ben Saad, H, Tabka, Z, Gharbi, N, Bouchez Buvry, A, Richalet, JP et al. Spirometric reference values in Tunisian children. Respiration 2004;71:508–11CrossRefGoogle ScholarPubMed
16Ben Saad, H, Prefaut, C, Missaoui, R, Hadj Mohamed, I, Tabka, Z, Hayot, M. Reference equation for 6-min walk distance in healthy North African children 6–16 years old. Pediatr Pulmonol 2009;44:316–24CrossRefGoogle ScholarPubMed
17Ben Saad, H, Prefaut, C, Tabka, Z, Mtir, AH, Chemit, M, Hassaoune, R et al. 6-minute walk distance in healthy North Africans older than 40 years: influence of parity. Respir Med 2009;103:74–84CrossRefGoogle ScholarPubMed
18Gaied Chortane, S, Ben Saad, H, Ben Ounis, O, Zouhal, H, Gazzah, M, Tabka, Z. Fat-free mass of healthy North African children aged 8-16 years. Fit Perf J 2009;8:237–46Google Scholar
19Pellegrino, R, Viegi, G, Brusasco, V, Crapo, RO, Burgos, F, Casaburi, R et al. 2005 ATS/ERS Task Force: standardisation of lung function testing. Interpretative strategies for lung function tests. Eur Respir 2005;26:948–68CrossRefGoogle Scholar
20Quanjer, PhH, Stocks, J, Polgar, G, Wise, M, Karlberg, J, Borsboom, G. Complication of reference values for lung function measurements in children. Eur Respir 1989;2(suppl 4):184–261sGoogle Scholar
21Ferris, BG. Epidemiology standardization project II: recommended respiratory disease questionnaires for use with adults and children in epidemiological research. American Thoracic Society. Am Rev Respir Dis 1978;118:1–120Google Scholar
22Piccirillo, JF, Merritt, MG, Richards, ML. Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg 2002;126:41–7CrossRefGoogle ScholarPubMed
23Blomgren, K, Simola, M, Hytönen, M, Pitkäranta, A. Peak nasal inspiratory and expiratory flow measurements – practical tools in primary care? Rhinology 2003;41:206–10Google ScholarPubMed
24Youlten, LJF. The peak nasal inspiratory flow meter: a new instrument for the assessment of the response to immunotherapy in seasonal allergic rhinitis. Allergol Immunopathol 1980;8:344Google Scholar
25Jenicek, M, Cleroux, R. Clinical epidemiology: its evolution and role in clinical practice and research. Union Med Can 1985;114:625–32Google ScholarPubMed
26Bland, JM, Altman, DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;i:307–10CrossRefGoogle Scholar
27Pedersen, S, Hansen, OR, Fuglsang, G. Influence of inspiratory flow rate upon the effect of a Turbuhaler. Dis Child 1990;65:308–10CrossRefGoogle ScholarPubMed
28Wihl, JA, Malm, L. Rhinomanometry and nasal peak expiratory and inspiratory flow rate. Ann Allergy 1988;61:50–5Google ScholarPubMed
29Prescott, CAJ, Prescott, KE. Peak nasal inspiratory flow measurement: an investigation in children. Int J Pediatr Otorhinolaryngol 1995;32:137–41CrossRefGoogle ScholarPubMed
30Crapo, RO. Role of reference values in making medical decisions. Indian J Med Res 2005;122:100–2Google ScholarPubMed
31Stocks, J, Quanjer, PH. Reference values for residual volume, functional residual capacity and total lung capacity. Eur Respir J 1995;8:492–506CrossRefGoogle ScholarPubMed